1. Georgia Rural HIT Forum CLINICAL HIT LEADERSHIP – ESSENTIAL ELEMENTS FOR SUCCESS Karen Graves Clinical Systems Analyst - Chestatee Regional Hospital Jennifer Reno Director of Clinical Informatics - Elbert Memorial Hospital Ginger Wiles Clinical Informatics Specialist - Emanuel Medical Center

2. Georgia Rural HIT Forum CLINICAL HIT LEADERSHIP – ESSENTIAL ELEMENTS FOR SUCCESS Ginger Wiles Clinical Informatics Specialist - Emanuel Medical Center

3. Georgia Rural HIT Forum Identify the key role of clinical HIT Director and why this role is important in the implementation of EHR

4. Georgia Rural HIT Forum The liaison between clinical/medical staff and IS department Participates in the planning, development, implementation, upgrading/maintenance, and evaluation of Clinical information system Analyzes and prioritizes user needs and requests related to the clinical information system Provides user support including training and education in using the EHR throughout the hospital Identify the key role of clinical HIT Director and why this role is important in the implementation of EHR

5. Georgia Rural HIT Forum Clinical knowledge of applications Point of contact for clinical software provider Lessen the burden of the IT department’s software/process issues Identify the key role of clinical HIT Director and why this role is important in the implementation of EHR

6. Georgia Rural HIT Forum Develop the plan, create the assessment tool, coordinate the implementation, oversee the timeline and follow-up You must keep everyone motivated and on track or everything will fall apart Identify the key role of clinical HIT Director and why this role is important in the implementation of EHR

7. Georgia Rural HIT Forum CLINICAL HIT LEADERSHIP – ESSENTIAL ELEMENTS FOR SUCCESS Jennifer Reno Director of Clinical Informatics - Elbert Memorial Hospital

8. Georgia Rural HIT Forum Discuss the steps required by clinical staff to successfully implement EHR

9. Georgia Rural HIT Forum Start EARLY and establish good working relationship with EHR vendor Educate the ENTIRE staff (registration, nursing, dietary, environmental services). Make it a TEAM effort Discuss the steps required by clinical staff to successfully implement EHR Educate staff and self on rules/ regulations related to the EHR

10. Georgia Rural HIT Forum. Meaningful Use Education. Be committed hospital wide. Be flexible. Don’t sweat the small stuff. Listen to front line staff input Discuss the steps required by clinical staff to successfully implement EHR

11. Georgia Rural HIT Forum. Involve staff with hardware purchases. Keep staff informed of updates and changes. Instruct staff to notify you of any error messages. Allow staff to see/ train on the new software BEFORE it is “live”. Set install dates and stick to them Discuss the steps required by clinical staff to successfully implement EHR

12. Georgia Rural HIT Forum. Set goals and let staff know how they are doing. Understand that having an EHR or CPOE doesn’t make things faster. Understand the financial investment. Ask for help. Identify “super users”. Tell the staff “why” they are documenting what they are documenting Discuss the steps required by clinical staff to successfully implement EHR

13. Georgia Rural HIT Forum ATTITUDE Explaining the reasons, rewards, how’s and whens of each part of the EHR that may affect their jobs SUGGESTIONS Discuss the steps required by clinical staff to successfully implement EHR

14. Georgia Rural HIT Forum Coordinate meeting with ALL departments that may be involved in implementation process Communicating with ALL departments in planning phase Research the electronic module by previous user (hospitals) Discuss the steps required by clinical staff to successfully implement EHR

15. Georgia Rural HIT Forum CLINICAL HIT LEADERSHIP – ESSENTIAL ELEMENTS FOR SUCCESS Karen Graves Clinical Systems Analyst - Chestatee Regional Hospital

16. Georgia Rural HIT Forum Discuss how the clinical IT professional contributes to the attestation process

17. Georgia Rural HIT Forum Meaningful Use is not just an IT project Many of the Meaningful Use objectives required some type of clinical input. Understands the workflow of nursing Discuss how the clinical IT professional contributes to the attestation process

18. Georgia Rural HIT Forum Ability to assist nursing/physicians with documentation/computer Able to communicate to staff how the Meaningful Use objective would be met/documented in the EHR Updating/maintenance of electronic media Stats/Reports pulled for Meaningful Use such as CPOE reports, problem lists, active medication lists, etc. Discuss how the clinical IT professional contributes to the attestation process

19. Georgia Rural HIT Forum Allow one full quarter of auditing before attempting to report for attestation Realize mistakes will be made and you need to build in time to fix them Create incentive program to add fun to a very long stressful project Discuss how the clinical IT professional contributes to the attestation process

20. Georgia Rural HIT Forum Define the skills required by clinicians and the education necessary

21. Georgia Rural HIT Forum. Ability to create the documentation fields. Full knowledge of the software. Ability and the tools to educate the staff. Don’t try to do it all, you can’t design, build, train and implement alone. Define the skills required by clinicians and the education necessary

22. Georgia Rural HIT Forum. Flexibility (time, new things, new processes). Know how to seek out resources. Be willing to learn new things outside of nursing Define the skills required by clinicians and the education necessary

23. Georgia Rural HIT Forum. Love what you do. Courteous and dependable team player. Good working relationship with IT Define the skills required by clinicians and the education necessary

24. Georgia Rural HIT Forum. Serves as point of contact for clinical software provider. Assists in installation of newly released software. Effectively educates staff and physicians. Consults with unit directors to improve clinical documentation Keeps abreast of changes in technologies/software Define the skills required by clinicians and the education necessary

25. Georgia Rural HIT Forum. Experience in the clinical setting. Understanding of flow of patient care and the documentation. Adequate computer skills. Self motivated. Determination Define the skills required by clinicians and the education necessary

26. Georgia Rural HIT Forum. Good listener. Excellent communicator. Ability to prioritize. Positive Attitude Define the skills required by clinicians and the education necessary

27. Georgia Rural HIT Forum QUESTIONS?

28. Georgia Rural HIT Forum THANK YOU! Karen Graves karen.graves@sunlinkhealth.com Jennifer Reno jreno@emhcare.net Ginger Wiles gwiles@emanuelmedical.org